人文关怀对无性伴侣勃起功能障碍患者焦虑与抑郁的影响

摘要

目的:探讨人文关怀对无性伴侣勃起功能障碍患者焦虑与抑郁的影响.方法:将2010年5月至2015年5月收治的124例无性伴侣勃起功能障碍的患者按随机数字法分为观察组和对照组各62例.人文关怀观察组增加实施环境干预、治疗性沟通联合心理关怀、认知行为干预、多元化健康教育、出院定期随访与用药指导干预.采用Zung焦虑自评量表(SAS)与抑郁自评量表(SDS)于对照组与观察组干预前后对患者的焦虑与抑郁进行评定,在两组患者出院3个月后再通过自制的服药依从性调查问卷进行评估.结果:两组干预前后SAS、SDS评分、两组患者服药的依从性(P＜0.01).结论:对无性伴侣勃起功能障碍患者实施人文关怀,可显著降低患者焦虑与抑郁的负面情绪,并提升患者服药的依从性;同时增加了患者对医护的信任度,积极配合治疗,有效地改善了勃起功能.%Objectives:To investigate the influence of humanistic care on the anxiety and depression of erectile dysfunction (ED) patients with asexual partner.Methods:124 patients with ED from May 2010 to May 2015 were randomly divided into observation group (62 cases) and control group (62 cases).The observation group was given environmental intervention,the combination of therapeutic communication,psychological care,cognitive behavioral intervention,diversified health education,regular follow-up and medication discharge guidance intervention.Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the anxiety and depression of the patients in control and observation group before and after the intervention.Three months after discharge,self-made medication compliance questionnaire was used to assess the medication compliance.Results:Compared the SAS and SDS scores of two groups before and after the intervention,the medication compliance between the two groups all had significant differences (P ＜ 0.01).Conclusion:Humanistic care for ED patients with asexual partner can significantly reduce the negative emotions of patients with anxiety and depression,and improve patient compliance medication,while increasing the trust of patients with health care,and effectively improving the erection function.